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DONALD J. CAPUANO, M.D.
Plastic Surgeon

INFORMATION REGARDING MALE EXCESSIVE BREAST/CHEST TISSUE

For various reasons certain men have excess tissue in the chest area. Tissue may appear in the chest that may be fat or actual breast tissue. In theory, all men have the potential to develop breast tissue. Whether or not this happens depends on heredity, amounts of various hormones, the presence of medications, percent of body fat and many other factors.

In the early 1980's, the use of suction removal of fat made more extensive surgery on the breast possible with fewer scars in many cases.

Usually incisions are made at the edge of the dark part of the nipple. These incisions heal quite well in most cases, although in rare cases the scars can be thick. There are treatments available if this occurs, but again, this is rare. Other incisions may be needed in the crease beneath the breast or under the arm.

In some cases, the extra tissue can be removed by suction contouring alone. This might mean that the incisions near the nipple might not be needed. The Doctor will discuss this with you.

The muscles of the chest are not injured to any significant degree following this surgery, although it is not unusual to feel tenderness in the area due to temporary bruising. This has not been a permanent problem to date.

During surgery, the contour of the chest is tailored to match the rest of the body. Tailoring is different for every person, and the Doctor will discuss this with you. Patients with very large(C or D cup) breasts may need multiple procedures.

As with any surgery problems and complications can occur but have been rare or have not happened in our experience. Extremely rare problems we have seen are one case of partial nipple loss (in a patient with very large breasts), and one case of bleeding after surgery that required aspiration (syringe removal). We have had no cases of infection.

Depending on the extent of the problem, the operation can be done using a local anesthetic with the individual partially asleep. The procedure can be done under general anesthesia (totally asleep) if necessary, or if the surgery is expected to be extensive.

This surgery is usually performed as out-patient which means you will have surgery in the morning, and return home in the afternoon. You will have a dressing in place, which should remain clean, dry and on until you are seen in the office. No showers are allowed, and you should rest and relax at home. No heavy lifting, straining or sweating until you are given the go-ahead, which is usually a  few weeks after surgery. You will be given prescriptions for medications for swelling, discomfort and infection, which you should take as directed. If you have any problems with medications, call the office.

After surgery the area will be somewhat swollen and possibly irregular, but this decreases over time. Continued compression of the area can be very important for the first number of weeks. This is especially true if large amounts of tissue has been removed. Compression can be applied by a binder or some may prefer a ‘spandex’ type garment which can be purchased at sporting stores and some department stores.

Sutures, if not dissolvable, are removed 10-14 days after surgery.

Return to usual activity depends on your definition of “normal”.  Doctor will advise you. Our general rule is whatever you do, begin to do slowly, and if it bothers you, back off. Recovery to climb Mount Everest is usually complete by 1 month after surgery.

This information is provided for your general information. How such information exactly applies to an individual would depend on a face to face history, examination, perhaps laboratory exams and individual treatment plan. Further because of the nature of electronic media and information - there is no doctor - patient relationship but merely a general information display - THANK YOU.

Male Breast Surgery

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